| Tracy Dourdounas, NP | |
|
320 Carleton Ave, Central Islip, NY 11722-4506 | |
| (631) 234-7807 | |
| Not Available |
| Full Name | Tracy Dourdounas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 320 Carleton Ave, Central Islip, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568787752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 305164 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 405098 (New York) | Primary |
| Entity Name | Family Service League Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528093242 PECOS PAC ID: 4284524448 Enrollment ID: O20040319000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Dourdounas, NP 10 Houghton Blvd, Stony Brook, NY 11790-1511 Ph: () - | Tracy Dourdounas, NP 320 Carleton Ave, Central Islip, NY 11722-4506 Ph: (631) 234-7807 |
Hope O. Enyenihi, MS, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17 Birchgrove Dr, Central Islip, NY 11722 Phone: 516-543-8217 | |
Marieanna Santana, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 264 Fruitwood Ln, Central Islip, NY 11722 Phone: 631-355-5336 | |
Ms. Jaclyn A Farino, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 159 Carleton Ave, Central Islip, NY 11722 Phone: 631-650-2510 | |
Monica Robles, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 W Suffolk Ave Fl 2, Central Islip, NY 11722 Phone: 631-582-2228 | |
Mrs. Alexandria Beverly Comrie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Apple St, Central Islip, NY 11722 Phone: 631-234-2921 | |
Kathleen Fitzsimons Mccarroll, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 W Suffolk Ave, Suite 200, Central Islip, NY 11722 Phone: 631-582-2228 |